Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keenan Jackson

Individual provider Social Worker · NPI 1427417906

Keenan Jackson is a Social Worker in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4449 N 12th St
Phoenix, AZ 85014-4520
Phone: (602) 279-1427
Fax: (602) 279-1431
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6889840 (AZ)

Record details

NPI number1427417906
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2016
Last updated in NPPESFebruary 12, 2016
Mailing addressPo Box 16906, Phoenix, AZ 85011-6906

Other providers in Phoenix